Homestead_Harmon H. PREPARER
Preparer of the Sales Disclosure Form Title
Micah Scott Escrow Officer
Company
Address(number and street,city,state,country, and ZIP Code)
7412 Eagle Crest Blvd. Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Zachary J.Turpin Kimberly D. Turpin
Address(nu ber and street) Address(winker and street)
4 5 a, E. ax �' ItA . „loci /r,
City,state And ZIP Code City,state, d ZIP Code
r �n,t-caEon
Z•Al 4 e7 Co nl 0 PP;n C in -Z'N a 1)(0.9 CD
Country tv> Country S l
E-mail address
Under penaltie of perjury,I hereby certify this Sales Disclosure,to the best of my knowl dge/annd belief,is true,correct and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who kno ingly and intentionally falsifies the value of transferred
rea property,or omits or falsifies any information required to be provided,co i a Level 5 felony.
re of Sig atu Sell r
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Pri a me Date signed(mm/dd/yyyy) F/rinte Name of Seller , ,•sio-- - • mm/dd/yyyy)
Zachary . urpin 01/12/2022 Kimberly D. Turpin 01/12/202222
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIP'RrA��pp��LL Till a9�fPPLY
Buyer 1 - appears on conveyance document Buyer 2-Name as it appears on conveyance doc ment
-Kevin J. Harmon Deanna Fay Harmon iLa.��1 2 ay`�,�•aJ
c' ress(number and street) o Adce,.s(n,umberand stree3IBSONCOUNTY AUD OR
NI F E. 1J ram[! t..r par�I .- _ •1 lI S F. I a �.J O r)Y •
City,st ,and ZIP Code � City,f�ate,and ZIP Code
t(':ne-e.for T A" t-k f (7 to 0 V i rl‹.t o ,- TL--�>
-AV I'`.1(O rZ.(.)
Country Country
l.2 14 u s 44
E-mail address _ A
Pursuant to IC 612-44,the Sales Disclosure Form may be used to apply for certain ddductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary E'O 0 3. Homestea
CDO residence? 0 0 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
0 LJ for this residence? If yes,provide address: 0 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county s2 / ' I J. ^, 5 „30 a- aa/.. Sf &"4 -p a 7
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of